Alzheimer's disease and other related dementias are among the most common primary diagnosis in hospice at 15.9% of patients, according to a report released by the HHS Office of the Assistant Secretary for Planning and Evaluation (ASPE) on Jan. 22, 2026.   
 
When listed as either a primary or secondary diagnosis, Alzheimer’s and related dementias were often associated with longer stays — including more days of routine home care and increased visits from aides. However, patients with these diagnoses received fewer average daily hospice visits than other beneficiaries. 
 
These diagnoses were also related to increased rates of live discharge.  
 
The ASPE also noted that these patterns varied by hospice type, size, age and location. For instance, older, rural and nonprofit agencies provided more daily RN visits than for-profit and newer organizations.  
 
To view the report, visit https://aspe.hhs.gov/reports/hospice-dementia.